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The paper outlines the problem of objective assessment of the level of impaired consciousness, and stresses the simplicity and great informative value of Glasgow coma scale. It is an invaluable tool for assessing the level of consciousness not only in patients following head injury, but also in all syndromes associated with impaired consciousness. Glasgow coma scale makes no arbitrary division between consciousness and unconsciousness, because altered consciousness is, in fact, a continuum. The elements observed and recorded include the best motor response, the best verbal performance and eye opening.